Misoprostol, Magnesium Sulphate and Anti-shock garment: A knowledge, availability and utilization study at the Primary Health Care Level in Western Nigeria.

dc.contributor.authorDuduyemi, A.O.
dc.contributor.authorOkafor, I.P
dc.contributor.authorOridota, E.S.
dc.date.accessioned2022-01-18T09:16:36Z
dc.date.available2022-01-18T09:16:36Z
dc.date.issued2019
dc.descriptionScholarly articleen_US
dc.description.abstractNigeria has one of the highest maternal mortality ratios in the world. The nurses and midwives being the first point of contact play a central role in addressing these problems. This study was conducted to assess the knowledge and utilization of the technologies (misoprostol, anti-shock garment and magnesium sulphate) in the reduction of maternal mortality amongst the Primary Health Care (PHC) nurses and midwives in Lagos State, Nigeria. In addition, the availability of the technologies in the flagship Primary Health Centres (PHCs) was assessed. Methods This was a cross-sectional study among all the nurses and midwives at the flagship PHCs in Lagos state and a total of 230 were eventually studied. Data was collected using a self-administered, structured questionnaire and a checklist. Descriptive and inferential statistics were applied. Level of significance was set at 5% (p<0.05). Results All the respondents were aware of the technologies but most (73.9%) had poor knowledge of them. Majority (74.8%) of the respondents had good knowledge of maternal mortality and its major causes. Most, 81.3% of the respondents have administered misoprostol, 37.0% magnesium sulphate while 52.2% have administered anti shock garment. Out of the 57 flagship PHCs, 27 (47.4%) had magnesium sulphate, 42 (73.7%) had misoprostol and 52 (91.2%) had anti-shock garments in their facilities. Respondents who were double qualified (nurse/midwife) had significantly better knowledge of maternal mortality and its major causes (p = 0.009) than the other cadres. Longer years of experience (p = 0.019), training in the use of misoprostol (p = 0.020) and training in the use of magnesium sulphate (p = 0.001) significantly improved knowledge of the technologies. Conclusion Respondents had good knowledge of maternal mortality and its major causes and poor knowledge of the technologies for maternal mortality reduction, despite the trainings attended. Of the three technologies considered, misoprostol was the most commonly used. Periodic refresher courses for the training and retraining of PHC nurses and midwives on the technologies for maternal mortality reduction is recommended.en_US
dc.identifier.citationDuduyemi AO, Okafor IP, Oridota ES (2019) Misoprostol, Magnesium Sulphate and Anti-shock garment: A knowledge, availability and utilization study at the Primary Health Care Level in Western Nigeria. PLoS ONE 14(3): e0213491. https://doi.org/10.1371/journal.pone.0213491en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10510
dc.language.isoenen_US
dc.publisherPLOS ONEen_US
dc.subjectMisoprostol, Magnesium Sulphate, Anti-shock garment, Primary Health Careen_US
dc.subjectPrimary Health Careen_US
dc.subjectAnti-shock garmenten_US
dc.subjectMagnesium Sulphateen_US
dc.subjectMisoprostolen_US
dc.subjectResearch Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Community medicineen_US
dc.titleMisoprostol, Magnesium Sulphate and Anti-shock garment: A knowledge, availability and utilization study at the Primary Health Care Level in Western Nigeria.en_US
dc.typeArticleen_US
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